Couples therapists in Vancouver, WA

Let's work together and help you find your direction. My counseling style is highly consultative and coaching-like. It is typically non-directive, as I believe each client pilot's their own ship, but when the situation warrants, there is plenty of idea sharing and strategizing as well.

I have been practicing for 21 years and work with clients of all ages and various backgrounds. I believe that with a strong therapeutic alliance, we can mutually come together and help you find a path forward that suits you.

I am a Licensed Clinical Social Worker with a Doctorate in Social Work, and I bring both clinical expertise and real life understanding into the therapy space. My professional background includes years of direct clinical practice as well as leadership roles in complex, high stress systems, including serving as a Mental Health Director. These experiences have shaped my ability to support individuals who are navigating pressure, responsibility, and emotional overwhelm while still being expected to function at a high level.

I work best with clients who are strong on the outside but struggling internally. Many of the people I support are women, mothers, professionals, caregivers, and helpers who are used to showing up for others while neglecting their own emotional needs. I have a particular passion for working with individuals experiencing anxiety, depression, imposter syndrome, burnout, life transitions, relationship stress, identity concerns, and trauma related to past or ongoing stressors.

Therapy with me is not about having all the answers. It is about learning how to trust yourself, set healthy boundaries, and show up for your life with more compassion and confidence.

My passion is helping people navigate anxiety, depression, and life transitions across the lifespan. I support those facing challenges in young adulthood, work stress, self-confidence struggles, impostor syndrome, relationship and family conflict, parenting, retirement, and the search for meaning at every stage of life. Don't hesitate to reach out with any questions!

I'm Erika Preston, an LMHC with over 11 years of experience in the field. Throughout my career, I've had the privilege of working in a variety of settings, allowing me to develop a diverse skill set and a deep understanding of the complexities of mental health. My specialization encompasses a range of areas, including depression, anxiety, relationship dynamics, trauma, life dissatisfaction, postpartum challenges, low self-esteem, and addiction.

Are you feeling stuck, anxious, or worn down by the demands of life or work? Many of my clients seek therapy during times of transition, burnout, self-doubt, or when they’ve lost connection with their sense of balance and purpose. As a Licensed Mental Health Counselor and Certified Employee Assistance Professional, I’m here to provide a supportive space to explore challenges with honesty, resilience, and compassion. I help clients navigate stress, life transitions, and personal struggles while honoring their identities and cultural backgrounds to invite authenticity, balance, and self-discovery.

Hello, and welcome! My name is Theresa McDowell, PhD and I’m a dedicated School Psychologist and licensed clinical social worker (LICSW) with over 20 years of experience in mental health and education. I specialize in supporting individuals across various stages of life, offering evidence-based interventions to address challenges such as anxiety, depression, ADHD, trauma, and grief.

Welcome. I provide virtual therapy to adults 18 and up in both Washington state and Florida. In addition to seeing people for a wide range of concerns including mental health conditions like depression and anxiety, I have expertise in adjustment issues/life transitions, relationship concerns, grief and loss, coping with chronic health issues, and concerns related to aging.

I believe healing happens best when compassion and laughter meet. In our work together, you'll find a space grounded in honesty, vulnerability, and genuine human connection-free of judgment, filled with support, and occasionally lightened by humor. My goal is to walk alongside you as you navigate challenges, deepen your relationships, and reconnect with what brings meaning to your life.

I'm a licensed Marriage and Family therapist with over a decade of experience working with individuals, couples and families. My background spans schools, community behavioral health, clinics and private practice. I specialize in eating disorders (adolescents and adults), communication, identity development, and family-of-origin work, helping clients build awareness and lasting change.

Florida + Washington residents

Midlife got you spinning? Not feeling yourself? Empty nest blues?

Midlife brings an undercurrent of change that few are completely prepared for. For decades, your time, energy, and identity may have been anchored by familiar roles—running a busy household, climbing a career ladder, or maintaining long-standing family dynamics. When those roles shift by way of an empty nest, career evolution, relationship changes, or retirement, the silence left behind can feel surprisingly heavy.

Many expect to feel a sense of relief or simple pride during this season. Instead, it’s incredibly common to find yourself wrestling with grief, anxiety, or a persistent question: Who am I now?

If you are feeling disconnected from your purpose, uncertain about the future, or struggling to adjust to a new pace of life, you are not alone. You haven’t lost yourself; you are simply navigating the space between who you once were and who you are becoming.

Areas of Focus

• Midlife Transitions & Role Shifts
• Self-Discovery & Identity Reconstruction
• Empty Nest Adjustment
• Grief, Loss, and Navigating Change
• Anxiety, Stress, and Uncertainty About the Future

My goal is to help you reconnect with your core self—not just through the roles you play for others, but as a whole person with your own distinct needs, interests, and dreams. Remember when you had needs? This isn't about starting over from scratch; it’s about reconstructing your life so that it feels deeply meaningful, aligned, and fulfilling for the years ahead.

Service for residents of Florida + Washington state

My name is Jeffrey W. Danese, MS, MA, LMHC, LPCC, and I am a licensed mental health counselor in Washington State and California, currently based in Sacramento. I bring over 15 years of clinical experience across private practice, inpatient and outpatient mental health settings, and college counseling, along with a an academic background teaching psychology, religious studies, and the history of science in higher education from UCSB, FSU, and 10 years at SJSU to various community colleges in the Puget Sound region and in North Florida and cross-cultural experiences such as living in Taiwan, Zambia, Germany and traveling around the world; I studied Spanish, German, and Chinese language, world history and religions, psychology, evolutionary psychology and the cognitive science of religion; was raised Catholic but ordained as a Buddhist monk in Thailand; and continue to meditate, explore and read broadly. One of my favorite quotes is by the Roman writer, Terence: "I am human and there is nothing human foreign to me." (or, Homo sum, humani nihil a me alienum puto. -- Publius Terentius Afer, 165 BCE)

Dr. Chika Galega-Sabum, is a board-certified Psychiatric Mental Health Nurse Practitioner currently accepting patients aged 5 and older. She holds a Doctor of Nursing Practice (DNP) from the University of Cincinnati and has a background in psychology. Dr. Galega-Sabum specializes in Medication Management, Psychiatric Evaluations, Psychotherapy, Anxiety, ADHD, Depression, Trauma, Substance Use Disorders, Alcohol Dependency, Grief, Eating Disorders, and Survivors of Sexual, Physical, and Emotional Abuse and more. She takes a holistic, evidence-based approach, addressing both symptoms and underlying causes of mental health and substance use concerns. Committed to personalized, patient-centered care, she works closely with individuals to develop treatment plans tailored to their unique needs and lifestyles. Passionate about mental health and addiction recovery, Dr. Galega-Sabum is dedicated to empowering individuals on their path to wellness and healing.

I have worked with clients and their families in various capacities for the past 12 years. I have found that I love helping people heal from past traumas and overcome whatever is holding them back. Through my training, I have found that the brain and body have incredible healing mechanisms hardwired into them. I am honored to be able to help others unlock those healing aspects and to help people enjoy their lives more fully. I earned a Bachelor of Science in Religious Studies and later completed my Master of Arts in Counseling at Multnomah University in Portland, Oregon. I am a Licensed Professional Counselor in Oregon and a Licensed Mental Health Counselor in Washington.